糖尿病感染性足溃疡的臭氧综合治疗及护理

Comprehensive ozone treatment and nursing of patients with infected diabetic foot ulcer

目的探讨常规治疗加臭氧（O3）综合治疗，护理方式（臭氧气浴配合使用臭氧化橄榄油等）治疗糖尿病感染性足溃疡的疗效。方法将2型糖尿病感染性足溃疡患者48例，随机分为实验组23例和对照组25例，两组均行常规治疗和常规护理；实验组还进行臭氧（O3）综合治疗及护理。结果对照组治愈8例，显效7例，无效2例其中截趾1例，治愈率32．0％，总有效率60％；实验组治愈14例，显效8例，无效3例其中截趾1例，治愈率60．9％，总有效率95．7％，与对照组比较，实验组治愈率、总有效率更高，差异有统计学意义（P值分别为P=0．045，P=0．003）。结论常规治疗加臭氧（O3）综合治疗、护理方式（臭氧气浴配合使用臭氧化橄榄油等）治疗糖尿病感染性足溃疡有效提高治愈率和总有效率。

Objective To explore the effect of comprehensive ozone treatment and nursing of patients with infected diabetic foot ulcer. Methods Forty eight patients of T2DM with infected diabetic foot ulcer were randomly divided into two groups, 23 cases of experimental group and 25 eases of control group. Experimental group was given comprehensive ozone treatment and nursing while control group was given rutine therapy and conventional care only. Comprehensive ozone treatment and nursing were given to the experimental group once per day, 10 days as a course, and repeated 2 - 4 courses due to the condictions of foot ulcer. Results Experimental group was significantly higher （ P 〈 0. 05） in cure rate with 60. 9% versus 32. 0% in control group, and was very significantly higher （ P 〈 0. 01 ） in total effective rate with 95.7% versus 60% in control group. Conclusions Rutine therapy and conventional care plus comprehensive ozone treatment and nursing of patients with infected diabetic foot ulcer can effectively improve both cure rate and total effective rate.